Which of the Following Identifies the Reason for the Risk

question 29

Multiple Choice

Which of the following identifies the reason for the risk adjustment based on the place of care?

• A) Diagnosis code
• B) Health insurance claim number
• C) Provider type
• D) Service from and to dates

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Definitions:

Indirect Evidence

Evidence that implies a fact but does not directly prove it, requiring inference or presumption to connect it to the conclusion.

Inference

The act of deriving logical conclusions from premises known or assumed to be true.

Freedom of Information Act

A law that allows for the full or partial disclosure of previously unreleased information and documents controlled by the government, promoting transparency.

USA Patriot Act

Legislation enacted by the United States Congress in 2001 aimed at deterring and punishing terrorist acts in the US and around the world, enhancing law enforcement investigatory tools.